| NPI | 1528780079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 088176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06025300) |
| Enumeration Date | 2022-09-12 |
| Last Update Date | 2022-09-12 |